US20080176927A1 - Compositions of stable tiacumicins - Google Patents
Compositions of stable tiacumicins Download PDFInfo
- Publication number
- US20080176927A1 US20080176927A1 US12/008,751 US875108A US2008176927A1 US 20080176927 A1 US20080176927 A1 US 20080176927A1 US 875108 A US875108 A US 875108A US 2008176927 A1 US2008176927 A1 US 2008176927A1
- Authority
- US
- United States
- Prior art keywords
- composition
- difimicin
- tiacumicins
- pharmaceutical composition
- enterocolitis
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Abandoned
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 73
- 229930187202 Tiacumicin Natural products 0.000 title claims abstract description 24
- ZVGNESXIJDCBKN-WUIGKKEISA-N R-Tiacumicin B Natural products O([C@@H]1[C@@H](C)O[C@H]([C@H]([C@H]1O)OC)OCC1=CC=CC[C@H](O)C(C)=C[C@@H]([C@H](C(C)=CC(C)=CC[C@H](OC1=O)[C@@H](C)O)O[C@H]1[C@H]([C@@H](O)[C@H](OC(=O)C(C)C)C(C)(C)O1)O)CC)C(=O)C1=C(O)C(Cl)=C(O)C(Cl)=C1CC ZVGNESXIJDCBKN-WUIGKKEISA-N 0.000 claims abstract description 42
- ZVGNESXIJDCBKN-UUEYKCAUSA-N fidaxomicin Chemical compound O([C@@H]1[C@@H](C)O[C@H]([C@H]([C@H]1O)OC)OCC\1=C/C=C/C[C@H](O)/C(C)=C/[C@@H]([C@H](/C(C)=C/C(/C)=C/C[C@H](OC/1=O)[C@@H](C)O)O[C@H]1[C@H]([C@@H](O)[C@H](OC(=O)C(C)C)C(C)(C)O1)O)CC)C(=O)C1=C(O)C(Cl)=C(O)C(Cl)=C1CC ZVGNESXIJDCBKN-UUEYKCAUSA-N 0.000 claims abstract description 41
- 239000008194 pharmaceutical composition Substances 0.000 claims abstract description 30
- 239000004322 Butylated hydroxytoluene Substances 0.000 claims abstract description 22
- NLZUEZXRPGMBCV-UHFFFAOYSA-N Butylhydroxytoluene Chemical compound CC1=CC(C(C)(C)C)=C(O)C(C(C)(C)C)=C1 NLZUEZXRPGMBCV-UHFFFAOYSA-N 0.000 claims abstract description 22
- 235000010354 butylated hydroxytoluene Nutrition 0.000 claims abstract description 22
- 229940095259 butylated hydroxytoluene Drugs 0.000 claims abstract description 22
- 239000003963 antioxidant agent Substances 0.000 claims abstract description 20
- 238000000034 method Methods 0.000 claims abstract description 18
- 239000000546 pharmaceutical excipient Substances 0.000 claims abstract description 14
- 238000011282 treatment Methods 0.000 claims abstract description 8
- HQKMJHAJHXVSDF-UHFFFAOYSA-L magnesium stearate Chemical compound [Mg+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O HQKMJHAJHXVSDF-UHFFFAOYSA-L 0.000 claims description 20
- 235000006708 antioxidants Nutrition 0.000 claims description 19
- 208000010227 enterocolitis Diseases 0.000 claims description 16
- 206010012735 Diarrhoea Diseases 0.000 claims description 15
- 208000015181 infectious disease Diseases 0.000 claims description 14
- 229920002472 Starch Polymers 0.000 claims description 13
- 235000019698 starch Nutrition 0.000 claims description 13
- 241000193163 Clostridioides difficile Species 0.000 claims description 12
- 229920000168 Microcrystalline cellulose Polymers 0.000 claims description 11
- 201000010099 disease Diseases 0.000 claims description 11
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 11
- 235000019813 microcrystalline cellulose Nutrition 0.000 claims description 11
- 239000008108 microcrystalline cellulose Substances 0.000 claims description 11
- 229940016286 microcrystalline cellulose Drugs 0.000 claims description 11
- 239000007909 solid dosage form Substances 0.000 claims description 11
- 229940032147 starch Drugs 0.000 claims description 11
- 239000008107 starch Substances 0.000 claims description 11
- 229920002153 Hydroxypropyl cellulose Polymers 0.000 claims description 10
- 239000001863 hydroxypropyl cellulose Substances 0.000 claims description 10
- 235000010977 hydroxypropyl cellulose Nutrition 0.000 claims description 10
- 235000019359 magnesium stearate Nutrition 0.000 claims description 10
- KFZMGEQAYNKOFK-UHFFFAOYSA-N Isopropanol Chemical compound CC(C)O KFZMGEQAYNKOFK-UHFFFAOYSA-N 0.000 claims description 9
- 230000000087 stabilizing effect Effects 0.000 claims description 9
- 229920003109 sodium starch glycolate Polymers 0.000 claims description 8
- 229940079832 sodium starch glycolate Drugs 0.000 claims description 8
- 239000008109 sodium starch glycolate Substances 0.000 claims description 8
- 206010009887 colitis Diseases 0.000 claims description 7
- 229920001903 high density polyethylene Polymers 0.000 claims description 6
- 239000004700 high-density polyethylene Substances 0.000 claims description 6
- 230000003115 biocidal effect Effects 0.000 claims description 5
- 235000019282 butylated hydroxyanisole Nutrition 0.000 claims description 5
- 229940071676 hydroxypropylcellulose Drugs 0.000 claims description 5
- 229940057948 magnesium stearate Drugs 0.000 claims description 5
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 claims description 4
- 239000004255 Butylated hydroxyanisole Substances 0.000 claims description 4
- 241001112695 Clostridiales Species 0.000 claims description 4
- 206010009657 Clostridium difficile colitis Diseases 0.000 claims description 4
- 241000193468 Clostridium perfringens Species 0.000 claims description 4
- 241000194033 Enterococcus Species 0.000 claims description 4
- VZCYOOQTPOCHFL-OWOJBTEDSA-N Fumaric acid Chemical compound OC(=O)\C=C\C(O)=O VZCYOOQTPOCHFL-OWOJBTEDSA-N 0.000 claims description 4
- ZTHYODDOHIVTJV-UHFFFAOYSA-N Propyl gallate Chemical compound CCCOC(=O)C1=CC(O)=C(O)C(O)=C1 ZTHYODDOHIVTJV-UHFFFAOYSA-N 0.000 claims description 4
- 208000003100 Pseudomembranous Enterocolitis Diseases 0.000 claims description 4
- 206010037128 Pseudomembranous colitis Diseases 0.000 claims description 4
- 241000191940 Staphylococcus Species 0.000 claims description 4
- 239000003242 anti bacterial agent Substances 0.000 claims description 4
- 229940088710 antibiotic agent Drugs 0.000 claims description 4
- CZBZUDVBLSSABA-UHFFFAOYSA-N butylated hydroxyanisole Chemical compound COC1=CC=C(O)C(C(C)(C)C)=C1.COC1=CC=C(O)C=C1C(C)(C)C CZBZUDVBLSSABA-UHFFFAOYSA-N 0.000 claims description 4
- 229940043253 butylated hydroxyanisole Drugs 0.000 claims description 4
- 238000002512 chemotherapy Methods 0.000 claims description 4
- VFPFQHQNJCMNBZ-UHFFFAOYSA-N ethyl gallate Chemical compound CCOC(=O)C1=CC(O)=C(O)C(O)=C1 VFPFQHQNJCMNBZ-UHFFFAOYSA-N 0.000 claims description 4
- 208000002551 irritable bowel syndrome Diseases 0.000 claims description 4
- 206010012742 Diarrhoea infectious Diseases 0.000 claims description 3
- 206010028980 Neoplasm Diseases 0.000 claims description 3
- 230000000840 anti-viral effect Effects 0.000 claims description 3
- 201000011510 cancer Diseases 0.000 claims description 3
- 208000001848 dysentery Diseases 0.000 claims description 3
- 230000002265 prevention Effects 0.000 claims description 3
- 238000002560 therapeutic procedure Methods 0.000 claims description 3
- GVJHHUAWPYXKBD-IEOSBIPESA-N α-tocopherol Chemical compound OC1=C(C)C(C)=C2O[C@@](CCC[C@H](C)CCC[C@H](C)CCCC(C)C)(C)CCC2=C1C GVJHHUAWPYXKBD-IEOSBIPESA-N 0.000 claims description 3
- BJEPYKJPYRNKOW-REOHCLBHSA-N (S)-malic acid Chemical compound OC(=O)[C@@H](O)CC(O)=O BJEPYKJPYRNKOW-REOHCLBHSA-N 0.000 claims description 2
- RPWFJAMTCNSJKK-UHFFFAOYSA-N Dodecyl gallate Chemical compound CCCCCCCCCCCCOC(=O)C1=CC(O)=C(O)C(O)=C1 RPWFJAMTCNSJKK-UHFFFAOYSA-N 0.000 claims description 2
- 239000004262 Ethyl gallate Substances 0.000 claims description 2
- QAQJMLQRFWZOBN-LAUBAEHRSA-N L-ascorbyl-6-palmitate Chemical compound CCCCCCCCCCCCCCCC(=O)OC[C@H](O)[C@H]1OC(=O)C(O)=C1O QAQJMLQRFWZOBN-LAUBAEHRSA-N 0.000 claims description 2
- 239000011786 L-ascorbyl-6-palmitate Substances 0.000 claims description 2
- 229940087168 alpha tocopherol Drugs 0.000 claims description 2
- BJEPYKJPYRNKOW-UHFFFAOYSA-N alpha-hydroxysuccinic acid Natural products OC(=O)C(O)CC(O)=O BJEPYKJPYRNKOW-UHFFFAOYSA-N 0.000 claims description 2
- 235000010323 ascorbic acid Nutrition 0.000 claims description 2
- 239000011668 ascorbic acid Substances 0.000 claims description 2
- 229960005070 ascorbic acid Drugs 0.000 claims description 2
- 235000010385 ascorbyl palmitate Nutrition 0.000 claims description 2
- 235000010386 dodecyl gallate Nutrition 0.000 claims description 2
- 239000000555 dodecyl gallate Substances 0.000 claims description 2
- 229940080643 dodecyl gallate Drugs 0.000 claims description 2
- 235000019277 ethyl gallate Nutrition 0.000 claims description 2
- 239000001530 fumaric acid Substances 0.000 claims description 2
- 229960002598 fumaric acid Drugs 0.000 claims description 2
- 235000011087 fumaric acid Nutrition 0.000 claims description 2
- 239000001630 malic acid Substances 0.000 claims description 2
- 235000011090 malic acid Nutrition 0.000 claims description 2
- 229940099690 malic acid Drugs 0.000 claims description 2
- 235000010387 octyl gallate Nutrition 0.000 claims description 2
- 239000000574 octyl gallate Substances 0.000 claims description 2
- NRPKURNSADTHLJ-UHFFFAOYSA-N octyl gallate Chemical compound CCCCCCCCOC(=O)C1=CC(O)=C(O)C(O)=C1 NRPKURNSADTHLJ-UHFFFAOYSA-N 0.000 claims description 2
- 235000010388 propyl gallate Nutrition 0.000 claims description 2
- 239000000473 propyl gallate Substances 0.000 claims description 2
- 229940075579 propyl gallate Drugs 0.000 claims description 2
- 235000010378 sodium ascorbate Nutrition 0.000 claims description 2
- PPASLZSBLFJQEF-RKJRWTFHSA-M sodium ascorbate Substances [Na+].OC[C@@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RKJRWTFHSA-M 0.000 claims description 2
- 229960005055 sodium ascorbate Drugs 0.000 claims description 2
- HRZFUMHJMZEROT-UHFFFAOYSA-L sodium disulfite Chemical compound [Na+].[Na+].[O-]S(=O)S([O-])(=O)=O HRZFUMHJMZEROT-UHFFFAOYSA-L 0.000 claims description 2
- 229940001584 sodium metabisulfite Drugs 0.000 claims description 2
- 235000010262 sodium metabisulphite Nutrition 0.000 claims description 2
- PPASLZSBLFJQEF-RXSVEWSESA-M sodium-L-ascorbate Chemical compound [Na+].OC[C@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RXSVEWSESA-M 0.000 claims description 2
- 229960000984 tocofersolan Drugs 0.000 claims description 2
- VZCYOOQTPOCHFL-UHFFFAOYSA-N trans-butenedioic acid Natural products OC(=O)C=CC(O)=O VZCYOOQTPOCHFL-UHFFFAOYSA-N 0.000 claims description 2
- 239000002076 α-tocopherol Substances 0.000 claims description 2
- 235000004835 α-tocopherol Nutrition 0.000 claims description 2
- 229960004592 isopropanol Drugs 0.000 claims 1
- -1 difimicin Natural products 0.000 abstract description 23
- 238000009472 formulation Methods 0.000 abstract description 18
- 150000001875 compounds Chemical class 0.000 description 30
- 238000000576 coating method Methods 0.000 description 22
- 239000011248 coating agent Substances 0.000 description 21
- 239000003826 tablet Substances 0.000 description 21
- 239000002274 desiccant Substances 0.000 description 17
- 239000003085 diluting agent Substances 0.000 description 14
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 13
- 229920001577 copolymer Polymers 0.000 description 11
- 238000002360 preparation method Methods 0.000 description 10
- 239000002775 capsule Substances 0.000 description 9
- 238000004128 high performance liquid chromatography Methods 0.000 description 9
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- 239000000843 powder Substances 0.000 description 9
- 239000004480 active ingredient Substances 0.000 description 8
- 239000012535 impurity Substances 0.000 description 8
- 239000000047 product Substances 0.000 description 8
- 239000000243 solution Substances 0.000 description 8
- 230000003078 antioxidant effect Effects 0.000 description 7
- WEVYAHXRMPXWCK-UHFFFAOYSA-N Acetonitrile Chemical compound CC#N WEVYAHXRMPXWCK-UHFFFAOYSA-N 0.000 description 6
- OKKJLVBELUTLKV-UHFFFAOYSA-N Methanol Chemical compound OC OKKJLVBELUTLKV-UHFFFAOYSA-N 0.000 description 6
- VYHICDMNVHVXOH-UHFFFAOYSA-N Tiacumicin F Natural products O=C1OC(C(C)O)CC=C(C)C=C(C)C(OC2C(C(OC(=O)C(C)C)C(O)C(C)(C)O2)O)C(CC)C=C(C)C(O)CC=CC=C1COC(C(C1O)OC)OC(C)C1OC(=O)C1=C(O)C(Cl)=C(O)C(Cl)=C1CC VYHICDMNVHVXOH-UHFFFAOYSA-N 0.000 description 6
- 230000004888 barrier function Effects 0.000 description 6
- 230000006698 induction Effects 0.000 description 6
- 239000004615 ingredient Substances 0.000 description 6
- 238000003860 storage Methods 0.000 description 6
- VVQNEPGJFQJSBK-UHFFFAOYSA-N Methyl methacrylate Chemical compound COC(=O)C(C)=C VVQNEPGJFQJSBK-UHFFFAOYSA-N 0.000 description 5
- 238000003556 assay Methods 0.000 description 5
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- 229920000058 polyacrylate Polymers 0.000 description 5
- 239000000725 suspension Substances 0.000 description 5
- ZZSNKZQZMQGXPY-UHFFFAOYSA-N Ethyl cellulose Chemical compound CCOCC1OC(OC)C(OCC)C(OCC)C1OC1C(O)C(O)C(OC)C(CO)O1 ZZSNKZQZMQGXPY-UHFFFAOYSA-N 0.000 description 4
- 229920003134 Eudragit® polymer Polymers 0.000 description 4
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 4
- DTQVDTLACAAQTR-UHFFFAOYSA-N Trifluoroacetic acid Chemical compound OC(=O)C(F)(F)F DTQVDTLACAAQTR-UHFFFAOYSA-N 0.000 description 4
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- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 3
- XEKOWRVHYACXOJ-UHFFFAOYSA-N Ethyl acetate Chemical compound CCOC(C)=O XEKOWRVHYACXOJ-UHFFFAOYSA-N 0.000 description 3
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- CERQOIWHTDAKMF-UHFFFAOYSA-N Methacrylic acid Chemical compound CC(=C)C(O)=O CERQOIWHTDAKMF-UHFFFAOYSA-N 0.000 description 3
- ZMXDDKWLCZADIW-UHFFFAOYSA-N N,N-Dimethylformamide Chemical compound CN(C)C=O ZMXDDKWLCZADIW-UHFFFAOYSA-N 0.000 description 3
- DNIAPMSPPWPWGF-UHFFFAOYSA-N Propylene glycol Chemical compound CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 3
- XUIZTHTZQXQZGN-UHFFFAOYSA-N Tiacumicin A Natural products CCC1C=C(C)C(O)CC=CC=C(C)C(=O)OC(CC)CC=C(C)C=C(C)C1OC1C(O)C(O)C(OC(C)=O)C(C)(C)O1 XUIZTHTZQXQZGN-UHFFFAOYSA-N 0.000 description 3
- TVNPCAPJKIVYOW-FBXMOKBDSA-N [6-[[(3e,5e,9e,13e,15e)-12-[3,4-dihydroxy-6,6-dimethyl-5-(2-methylpropanoyloxy)oxan-2-yl]oxy-11-ethyl-8-hydroxy-18-(1-hydroxyethyl)-9,13,15-trimethyl-2-oxo-1-oxacyclooctadeca-3,5,9,13,15-pentaen-3-yl]methoxy]-4-hydroxy-5-methoxy-2-methyloxan-3-yl] 3,5-dic Chemical compound O=C/1OC(C(C)O)C\C=C(/C)\C=C(C)\C(OC2C(C(O)C(OC(=O)C(C)C)C(C)(C)O2)O)C(CC)\C=C(C)\C(O)C\C=C\C=C\1COC(C(C1O)OC)OC(C)C1OC(=O)C1=C(C)C(Cl)=C(O)C(Cl)=C1O TVNPCAPJKIVYOW-FBXMOKBDSA-N 0.000 description 3
- VYHICDMNVHVXOH-HSFUDZDJSA-N [6-[[(3z,5e,9e,13e,15e)-12-[3,5-dihydroxy-6,6-dimethyl-4-(2-methylpropanoyloxy)oxan-2-yl]oxy-11-ethyl-8-hydroxy-18-(1-hydroxyethyl)-9,13,15-trimethyl-2-oxo-1-oxacyclooctadeca-3,5,9,13,15-pentaen-3-yl]methoxy]-4-hydroxy-5-methoxy-2-methyloxan-3-yl] 3,5-dic Chemical compound O=C\1OC(C(C)O)C\C=C(/C)\C=C(C)\C(OC2C(C(OC(=O)C(C)C)C(O)C(C)(C)O2)O)C(CC)\C=C(C)\C(O)C\C=C\C=C/1COC(C(C1O)OC)OC(C)C1OC(=O)C1=C(O)C(Cl)=C(O)C(Cl)=C1CC VYHICDMNVHVXOH-HSFUDZDJSA-N 0.000 description 3
- JFUVEKVTRJCUMZ-HSFUDZDJSA-N [6-[[(3z,5e,9e,13e,15e)-12-[4,5-dihydroxy-6,6-dimethyl-3-(2-methylpropanoyloxy)oxan-2-yl]oxy-11-ethyl-8-hydroxy-18-(1-hydroxyethyl)-9,13,15-trimethyl-2-oxo-1-oxacyclooctadeca-3,5,9,13,15-pentaen-3-yl]methoxy]-4-hydroxy-5-methoxy-2-methyloxan-3-yl] 3,5-dic Chemical compound O=C\1OC(C(C)O)C\C=C(/C)\C=C(C)\C(OC2C(C(O)C(O)C(C)(C)O2)OC(=O)C(C)C)C(CC)\C=C(C)\C(O)C\C=C\C=C/1COC(C(C1O)OC)OC(C)C1OC(=O)C1=C(O)C(Cl)=C(O)C(Cl)=C1CC JFUVEKVTRJCUMZ-HSFUDZDJSA-N 0.000 description 3
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- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 2
- 239000002253 acid Substances 0.000 description 2
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- OSGAYBCDTDRGGQ-UHFFFAOYSA-L calcium sulfate Chemical compound [Ca+2].[O-]S([O-])(=O)=O OSGAYBCDTDRGGQ-UHFFFAOYSA-L 0.000 description 2
- 125000002091 cationic group Chemical group 0.000 description 2
- 239000007979 citrate buffer Substances 0.000 description 2
- KRKNYBCHXYNGOX-UHFFFAOYSA-N citric acid Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O KRKNYBCHXYNGOX-UHFFFAOYSA-N 0.000 description 2
- JNGZXGGOCLZBFB-IVCQMTBJSA-N compound E Chemical compound N([C@@H](C)C(=O)N[C@@H]1C(N(C)C2=CC=CC=C2C(C=2C=CC=CC=2)=N1)=O)C(=O)CC1=CC(F)=CC(F)=C1 JNGZXGGOCLZBFB-IVCQMTBJSA-N 0.000 description 2
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- 239000002702 enteric coating Substances 0.000 description 2
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- GDCRSXZBSIRSFR-UHFFFAOYSA-N ethyl prop-2-enoate;2-methylprop-2-enoic acid Chemical compound CC(=C)C(O)=O.CCOC(=O)C=C GDCRSXZBSIRSFR-UHFFFAOYSA-N 0.000 description 2
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- C07H17/00—Compounds containing heterocyclic radicals directly attached to hetero atoms of saccharide radicals
- C07H17/04—Heterocyclic radicals containing only oxygen as ring hetero atoms
- C07H17/08—Hetero rings containing eight or more ring members, e.g. erythromycins
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Definitions
- the invention relates generally to the field of medicinal formulations, and more particularly to methods of preparing pharmaceutical compositions of one or more tiacumicins, such as difimicin, that are substantially stable to allow for increased shelf life and improved methods of treatment.
- tiacumicins such as difimicin
- Tiacumicins are a family of structurally related compounds that contain an 18-membered macrolide ring. Members of the tiacumicin family (e.g., tiacumicin A-F) have been disclosed, for example, by U.S. Pat. No. 4,918,174 and by J. Antibiotics, 1987, 575-888. Tiacumicins have been disclosed as having activity against a variety of bacterial pathogens. As such, tiacumicins are generally expected to be useful in the treatment of bacterial infections in mammals, and especially those of the gastrointestinal tract.
- Examples of such treatments include, but are not limited to, treatment of Clostridium difficile -associated diarrhea (CDAD), and other diseases, infections, and/or conditions, such as colitis, pseudomembranous colitis, antibiotic associated diarrhea, and infections due to C. difficile, C. perfringens, Staphylococcus species, such as methicillin-resistant Staphylococcus aureus (MRSA), Enterococcus , such as vancomycin-resistant enterococci (VRE), and similar diseases, including but not limited to clostridial enterocolitis, neonatal diarrhea, antibiotic-associated enterocolitis, sporadic enterocolitis, nosocomial enterocolitis, colitis membranous, infectious diarrhea, and irritable bowel syndrome.
- CDAD Clostridium difficile -associated diarrhea
- other diseases, infections, and/or conditions such as colitis, pseudomembranous colitis, antibiotic associated diarrhea, and infections due to C. difficile, C. perfringens, Staphylococcus species
- Difimicin also described as 3-[[[6-Deoxy-4-O-(3,5-dichloro-2-ethyl-4,6-dihydroxybenzoyl)-2-O-methyl- ⁇ -D-mannopyranosyl]oxy]-methyl]-12(R)-[[6-deoxy-5-C-methyl-4-O-(2-methyl-1-oxopropyl)- ⁇ -D-lyxo-hexopyranosyl]oxy]-11(S)-ethyl-8(S)-hydroxy-18(S)-(1(R)-hydroxyethyl)-9,13,15-trimethyloxacyclooctadeca-3,5,9,13,15-pentaene-2-one, is a narrow-spectrum antibiotic with the following general structure
- compositions of these drugs that would be stable in the presence of humidity are highly desirable.
- the present invention satisfies this need for new formulations of tiacumicins, such as difimicin, with increased stability and shelf life.
- the present invention relates to compositions that substantially increase the stability of difimicin and other tiacumicins. As such, embodiments of the present invention prevent decreases in the effective dosages of compositions of tiacumicins, preferably difimicin, and substantially increase shelf life of such compositions.
- Embodiments of the present invention provide a pharmaceutical composition that is substantially stable, comprising a therapeutically effective amount of one or more tiacumicins, preferably difimicin, a stabilizing amount of one or more antioxidants, preferably butylated hydroxytoluene, and optionally one or more pharmaceutically acceptable excipients.
- the stabilizing amount of one or more antioxidants is from about 0.001% to about 50% of the total weight of said composition.
- Embodiments of the present invention also provide a method for the treatment or prevention of a disease, infection, and/or other condition associated with the use of antibiotics, cancer chemotherapies, or antiviral therapies, comprising administering a pharmaceutical composition that is substantially stable, preferably in the presence of heat and/or humidity, to a subject, comprising a therapeutically effective amount of one or more tiacumicins, preferably difimicin, a stabilizing amount of one or more antioxidants, preferably butylated hydroxytoluene, and optionally one or more pharmaceutically acceptable excipients.
- Exemplary diseases, infections, and/or conditions include, but are not limited to the following: C.
- CDAD C. difficile -associated diarrhea
- colitis colitis, pseudomembranous colitis, antibiotic associated diarrhea, infections due to C. difficile, C. perfringens, Staphylococcus species, or Enterococcus
- clostridial enterocolitis neonatal diarrhea, antibiotic-associated enterocolitis, sporadic enterocolitis, nosocomial enterocolitis, and irritable bowel syndrome.
- the disease, infection, and/or other condition is C. difficile -associated diarrhea (CDAD).
- Some embodiments provide a pharmaceutical composition
- a pharmaceutical composition comprising a therapeutically effective amount of difimicin, butylated hydroxytoluene in an amount of about 0.001% to about 5% of the total weight of said composition, and optionally one or more of microcrystalline cellulose, starch, hydroxypropylcellulose, sodium starch glycolate, and magnesium stearate.
- difimicin is administered with related compound A, related compound B, related compound C, related compound D, related compound E, related compound F, related compound G, related compound H, related compound I, related compound J, related compound K, related compound L, related compound M, related compound N, related compound O, lipiarmycin A4, tiacumicin A, tiacumicin F, or tiacumicin C, combinations thereof, or all of these compounds.
- Embodiments of the present invention also provide a pharmaceutical composition
- a pharmaceutical composition comprising a therapeutically effective amount of difimicin, butylated hydroxytoluene in an amount of about 0.001% to about 5% of the total weight of said composition, and optionally one or more of microcrystalline cellulose, starch, hydroxypropylcellulose, sodium starch glycolate, and magnesium stearate.
- FIG. 1 shows possible structures of compounds related to difimicin.
- FIG. 2 shows a high performance liquid chromatography (HPLC) chromatogram at time zero of a formulation including difimicin but no antioxidant.
- FIG. 3 shows an HPLC chromatogram of a stressed tablet after two months at 40° C./75% RH having a formulation including difimicin but no antioxidant.
- FIG. 4 shows an HPLC chromatogram at time zero of a formulation including difimicin and BHT.
- FIG. 5 shows an HPLC chromatogram of a stressed tablet after two months at 40° C./75% RH having a formulation including difimicin and BHT.
- Embodiments of the present invention include a pharmaceutical composition that is substantially stable comprising a therapeutically effective amount of one or more tiacumicins, preferably difimicin, a stabilizing amount of one or more antioxidants, and optionally one or more pharmaceutically acceptable excipients.
- Embodiments of the present invention also provide a pharmaceutical composition that is substantially stable, comprising a therapeutically effective amount of one or more tiacumicins, preferably difimicin, a stabilizing amount of one or more desiccants, and optionally one or more pharmaceutically acceptable excipients.
- Desiccants include, but are not limited to, one or more of the following: silica gel, molecular sieve (e.g., a synthetic crystalline metal alumosilicate zeolite), clay (e.g., montmorillonite clay or bentonite clay), and calcium oxide. Such embodiments are believed to work equally well at allowing for a substantially stable composition.
- substantially stable means that the active ingredient has greater than or equal to about 90% of the assay of active ingredient initially present in the composition at time 0 at the stated conditions for at least about 6 months, preferably at least about 1 year, more preferably at least about 18 months, and most preferably at least about 2 years.
- a composition is “substantially stable” where the composition has an increase of not more than about 1.5% of related impurities to difimicin than initially present at time 0, preferably less than about 1.0%, more preferably less than about 0.75%, and most preferably less than about 0.50%, after storage at the stated conditions for at least about 6 months, preferably at least about 1 year, more preferably at least about 18 months, and most preferably at least about 2 years.
- the pharmaceutical compositions are substantially stable in the presence of humidity and/or temperature changes ordinarily present for products in the pharmaceutical industry (e.g., during, but not limited to, manufacture, packaging, distribution, and/or storage by the manufacturers, distributors, and/or consumers) for about 1, 2, 3, or 6 months, preferably at least about 1 year, more preferably at least about 18 months, and most preferably at least about 2 years.
- related impurity refers to an unwanted degradation product of the one or more tiacumicins, such as related compound L, a degradation product of difimicin.
- Embodiments of the present invention are considered stable when stored at ambient storage conditions of about 18° C. to about 30° C., preferably about 25° C. and up to about 60% relative humidity (RH) (e.g., at least about 20% RH, preferably at least about 30% RH, more preferably at least about 50% RH) for a period of at least about 1, 2, or 3 months, preferably at least about 6 months, more preferably at least about 1 year, even more preferably at least about 18 months, and most preferably at least about 2 years.
- RH relative humidity
- Embodiments are also considered stable when stored at about 40° C., most preferably at accelerated storage conditions of about 40° C.
- RH up to about 75% RH (e.g., at least about 40% RH, preferably at least about 50% RH, more preferably at least about 60% RH, and most preferably about 75% RH) for a period of at least 3 months, preferably at least about 6 months, more preferably at least 1 year, even more preferably at least about 18 months, and most preferably at least about 2 years.
- a formulation tested as stable under accelerated storage conditions for three months will be stable under ambient storage conditions for at least about two years.
- Stability of embodiments of the present invention may evaluated by any methods known to those of skill in the art. For example, stability may be evaluated through an HPLC assay and determination of chromatographic purity.
- the pharmaceutical compositions of FIG. 2-5 were evaluated using the following parameters, procedures, and calculations:
- Gradient Program Time (min) % Mobile Phase A % Mobile Phase B 0 60 40 3.0 50 50 14.0 39 61 14.5 60 40 Retention time of embodiments of the present invention is preferably within about 8 to about 12 minutes.
- Standard Preparation Accurately weigh about 20 mg of the pharmaceutical composition into a 100 mL volumetric flask. Vortex to dissolve in, and dilute to volume with Diluent.
- Sample Preparation Carefully remove tablets from not less than 10 capsules and clean away any placebo powder by blowing gently with air. Accurately record the total tablet weight and grind them into a fine powder. Transfer an accurately weighed portion of the powder, equivalent to about 200 mg of the pharmaceutical composition, into a 100 mL volumetric flask. Add Diluent to about half of the flask and shake for about 30 minutes on mechanical shaker. Dilute to volume with Diluent, mix well and filter a portion through a 0.45 ⁇ m membrane filter (Millex-HV, or equivalent). Further dilute 5.0 mL to 50.0 mL with Diluent.
- Millex-HV 0.45 ⁇ m membrane filter
- Placebo Preparation Accurately weigh about 150 mg of placebo powder into a 100 mL volumetric flask. Add Diluent to about half of the flask and shake for about 30 minutes on mechanical shaker. Dilute to volume with Diluent, mix well and filter a portion through a 0.45 ⁇ m membrane filter (Millex-HV, or equivalent). Further dilute 5.0 mL to 50.0 mL with Diluent.
- Millex-HV 0.45 ⁇ m membrane filter
- % ⁇ ⁇ Assay R u R s ⁇ StdWt ⁇ ⁇ ( mg ) Std ⁇ ⁇ Dil ⁇ ⁇ ( mL ) ⁇ P ⁇ 100 ⁇ ⁇ ( mL ) SplWt ⁇ ⁇ ( mg ) ⁇ 10 ⁇ ATW ⁇ ⁇ ( mg ) ⁇ 100 LC ⁇ ⁇ ( mg ⁇ / ⁇ cap )
- % ⁇ ⁇ ⁇ individual ⁇ ⁇ impurity R i R u ⁇ 100
- Total ⁇ ⁇ impurities ⁇ ⁇ ( % ⁇ ⁇ w / w ) ⁇ % ⁇ ⁇ ( w / w ) ⁇ ⁇ individual ⁇ ⁇ impurity
- Embodiments of the present invention include pharmaceutical compositions of one or more tiacumicins, preferably difimicin, including different polymorph forms and derivatives thereof, and combinations thereof.
- Therapeutically effective dosage amounts of the one or more tiacumicins, such as difimicin generally range from about 1 mg to about 1000 mg, preferably from about 5 mg to about 500 mg, and more preferably from about 25 mg to about 500 mg.
- Exemplary dosages therefore include, but are not limited to, about 25 mg, about 50 mg, about 75 mg, about 100 mg, about 125 mg, about 150 mg, about 175 mg, about 200 mg, about 300 mg, about 450 mg, and about 500 mg, preferably about 50 mg, about 100 mg, and about 200 mg.
- tiacumicin A RRT 1.10
- FIG. 1 discloses the general structures of these compounds.
- the pharmaceutical compositions contains less than about 20%, preferably less than or equal to about 10% of such substances, such as about 5%.
- some embodiments contain at time 0: less than about 10% of related compounds A to 0, preferably less than or equal to about 5%, such as about 1%; less than about 10% of lipiarmycin A4, preferably less than or equal to about 5%, such as about 1.5%; less than about 10% of Tiacumicin A, Tiacumicin C, and/or Tiacumicin F, preferably less than or equal to about 5%, such as about 1%.
- Some embodiments of the present invention may be characterized at time 0 by the HPLC profile substantially depicted by the chromatogram of FIG. 4 , or as a stressed tablet after two months at 40° C./75% RH by the HPLC profile substantially depicted by the chromatogram of FIG. 5 .
- Antioxidants include, but are not limited to, one or more of the following: butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), ascorbic acid, ascorbyl palmitate, propyl gallate, dodecyl gallate, ethyl gallate, octyl gallate, alpha tocopherol, sodium ascorbate, sodium metabisulfite, fumaric acid, malic acid, and any pharmaceutically compatible antioxidant known in the art, preferably butylated hydroxytoluene (BHT).
- a stabilizing amount of one or more antioxidants are generally from about 0.001% to about 50% of the total weight of the composition, preferably from about 0.01% to about 25% of the total weight of the composition.
- a stabilizing amount of butylated hydroxytoluene (BHT) can be from about 0.001% to about 5% of the total weight of the composition, preferably from about 0.01% to about 0.5% of the total weight of the composition, and more preferably from about 0.01% to about 0.15% of the total weight of the composition.
- the one or more antioxidants such as BHT
- BHT may be added to embodiments of the present invention as a dry powder, in a solution (for example, using solvents such as, but not limited to, isopropyl alcohol and methanol), or by any other forms known to those of ordinary skill in the art.
- compositions of the present invention may be used for the treatment or prevention of a disease, infection, and/or other condition associated with the use of antibiotics, cancer chemotherapies, or antiviral therapies.
- the diseases, infections, and/or other conditions may include, but are not limited to, the following: C. difficile -associated diarrhea (CDAD), colitis, pseudomembranous colitis, antibiotic associated diarrhea and infections due to C. difficile, C. perfringens, Staphylococcus species, or Enterococcus , clostridial enterocolitis, neonatal diarrhea, antibiotic-associated enterocolitis, sporadic enterocolitis, nosocomial enterocolitis, colitis membranous, infectious diarrhea, and irritable bowel syndrome.
- the disease, infection, and/or other condition is C. difficile -associated diarrhea (CDAD).
- compositions of embodiments of the present invention may be prepared for administration orally, rectally, vaginally, transmucosally, transdermally, parenterally, subcutaneously, intramuscularly, or intravenously, preferably orally.
- the compositions can be administered daily (e.g., once, twice, three times, or four times daily) or less frequently (e.g., once every other day, or one or twice weekly).
- difimicin can be administered in an amount of about 50 mg to about 200 mg once or twice daily.
- compositions of the present invention may further comprise one or more pharmaceutically acceptable excipients or inactive ingredients, which are suitable for these methods of administration and are generally known to those of skill in the art.
- Inactive ingredients may solubilize, suspend, thicken, dilute, lubricate, emulsify, further stabilize, preserve, protect, color, flavor, and/or fashion the active ingredients into an applicable and efficacious preparation that is safe, convenient, and otherwise acceptable for use.
- excipients can be included according to the judgment of the pharmaceutical scientist formulating the medicament.
- other active ingredients can be included to produce a dual- or multiple-ingredient medication.
- one or more inert diluents and/or fillers e.g., sucrose, sorbitol, sugar, mannitol, microcrystalline cellulose, starches including potato starch, calcium carbonate, sodium chloride, lactose, calcium phosphate, calcium sulfate, or sodium phosphate
- one or more granulating and disintegrating agents e.g., cellulose derivatives including, but not limited to, microcrystalline cellulose, starches including potato starch, croscarmellose sodium, alginates, or alginic acid
- one or more binding agents e.g., sucrose, glucose, mannitol, sorbitol, acacia, alginic acid, sodium alginate, gelatin, starch, pregelatinized starch, microcrystalline cellulose, magnesium aluminum silicate, carboxymethylcellulose sodium, methylcellulose, hydroxypropylmethylcellulose, ethylcellulose, polyvinylpyrrolidone, or polyethylene glycol
- compositions can be colorants, flavoring agents, plasticizers, humectants, buffering agents, and the like, which are found, for example, in The Handbook of Pharmaceutical Excipients, third edition, edited by Authur H. Kibbe, American Pharmaceutical Association, Washington, D.C., hereby incorporated by reference herein in its entirety.
- Solid dosage forms that can be prepared from the pharmaceutical compositions of embodiments of the present invention can include tablets, caplets, capsules, rectal or vaginal suppositories, pills, dragees, lozenges, granules, beads, microspheres, pellets, and powders, or any combination thereof. Formulations also can be prepared in the form of solutions, suspensions, emulsions, syrups, and elixirs. These liquid dosage forms can include liquid diluents in addition to the solid ingredients discussed above.
- Such diluents can include, but are not limited to solvents, solubilizing agents, suspending agents and emulsifiers such as water or saline solutions, ethanol and other pharmaceutically acceptable alcohols, ethyl carbonate, ethyl acetate, propylene glycol, dimethyl formamide, pharmaceutically acceptable oils such as cottonseed, corn, olive, castor and sesame, fatty acid esters of sorbitan, polyoxyethylene sorbitol, and agar-agar.
- Acid and neutral diluents are generally preferred, and more preferably acid diluents.
- the pharmaceutical composition of embodiments of the present invention can be used for any convenient dosage amount of the active ingredient.
- the level of the active ingredient can be increased or decreased according to the judgment of the physician, pharmacist, pharmaceutical scientist or other person of skill in the art.
- the amount of the remaining non-active ingredients can be adjusted as needed.
- Embodiments of the present invention can be either immediate or modified release (e.g. pharmaceutical compositions that create a substantially constant concentration of the drug within the intestinal tract over an extended period of time, and pharmaceutical compositions that have modified release characteristics based on temporal or environmental criteria. See, for example, Modified-Release Drug Delivery Technology, eds. M. J. Rathbone, J. Hodgraft and M. S. Roberts. Marcel Dekker, Inc. New York).
- an immediate release tablet comprises one or more pharmaceutically acceptable excipients including, but not limited to, one or more of microcrystalline cellulose, starch, hydroxypropylcellulose, lactose monohydrate, anhydrous lactose, talc, colloidal silicon dioxide, providone, citric acid, poloxamer, sodium starch glycolate, stearic acid, and magnesium stearate.
- the one or more pharmaceutically acceptable excipients include, but are not limited to, one or more of microcrystalline cellulose, starch, hydroxypropylcellulose, sodium starch glycolate, and magnesium stearate.
- Microcrystalline cellulose can be present from about 1% to about 90% of the total weight of the composition, preferably from about 5% to about 50% of the total weight of the composition.
- Starch can be present from about 1% to about 25% of the total weight of the composition.
- Hydroxpropylcellulose can be present from about 0.01% to about 25% of the total weight of the composition, preferably from about 0.05% to about 10% of the total weight of the composition.
- Sodium starch glycolate can be present from about 0.01% to about 25% of the total weight of the composition, preferably from about 0.05% to about 10% of the total weight of the composition.
- Magnesium stearate can be present from about 0.01% to about 25% of the total weight of the composition, preferably from about 0.05% to about 10% of the total weight of the composition.
- Some embodiments of the present invention can include one or more coatings.
- the coating(s) can be applied by any conventional technique such as pan coating, fluid bed coating or spray coating.
- the coating(s) can be applied as a suspension, spray, dust, or powder.
- the coating(s) can be formulated for immediate release, delayed/enteric release or sustained release of the second pharmaceutical active in accordance with methods well known in the art. Conventional coating techniques are described, for example in Remington's Pharmaceutical Sciences, 18th Ed. (1990), hereby incorporated by reference herein in its entirety.
- EUDRAGIT® RD100 (Rohm) is an example of such a coating. It is a combination of a water insoluble cationic methacrylate copolymer with a water soluble cellulose ether. In powder form, it is readily dispensable into an easily sprayable suspension that dries to leave a smooth film. Such films rapidly disintegrate in aqueous media at a rate that is independent of pH and film thickness.
- a protective coating layer (i.e., seal coat) can be applied, if desired, by conventional coating techniques such as pan coating or fluid bed coating using solutions of polymers in water or suitable organic solvents or by using aqueous polymer dispersions.
- Suitable materials for the protective layer include cellulose derivatives such as hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxypropyl methylcellulose, polyvinylpyrrolidone, polyvinylpyrrolidone/vinyl acetate copolymer, ethyl cellulose aqueous dispersions, and the like.
- the protective coating layer can include one or more additional antioxidants, chelating agents, colors, or dyes.
- An enteric coating layer can be applied onto the cores with or without seal coating by conventional coating techniques, such as pan coating or fluid bed coating using solutions of polymers in water or suitable organic solvents or by using aqueous polymer dispersions. All commercially available pH-sensitive polymers are included.
- the pharmaceutical active is not released in the acidic stomach environment of approximately below pH 4.5, but not limited to this value. The pharmaceutical active should become available when the pH-sensitive layer dissolves at the greater pH, after a certain delayed time, or after the unit passes through the stomach.
- the preferred delay time is in the range of one to six hours.
- Enteric polymers include, but are not limited to, cellulose acetate phthalate, cellulose acetate trimellitate, hydroxypropyl methylcellulose phthalate, polyvinyl acetate phthalate, carboxymethylethylcellulose, co-polymerized methacrylic acid/methacrylic acid methyl esters such as, for instance, materials known under the trade name EUDRAGIT L12.5, L100, or EUDRAGIT S12.5, S100 or similar compounds used to obtain enteric coatings.
- Aqueous colloidal polymer dispersions or re-dispersions can be also applied, e.g.
- a sustained release film coat can include a water insoluble material such as a wax or a wax-like substance, fatty alcohols, shellac, zein, hydrogenated vegetable oils, water insoluble celluloses, polymers of acrylic and/or methacrylic acid, and any other slowly digestible or dispersible solids known in the art.
- the solvent for the hydrophobic coating material can be organic or aqueous.
- the hydrophobic polymer is selected from (i) a water insoluble cellulosic polymer, such as an alkylcellulose, preferably ethylcellulose; (ii) an acrylic polymer; or (iii) mixtures thereof.
- the hydrophobic material comprising the controlled release coating is an acrylic polymer.
- the acrylic polymers can be cationic, anionic or non-ionic polymers and can be acrylates, methacrylates, formed of methacrylic acid, or methacrylic acid esters.
- acrylic polymers include but are not limited to acrylic acid and methacrylic acid copolymers, methacrylic acid copolymers, methyl methacrylate copolymers, ethoxyethyl methacrylates, cyanoethyl methacrylate, methyl methacrylate, copolymers, methacrylic acid copolymers, methyl methacrylate copolymers, methyl methacrylate copolymers, methyl methacrylate copolymers, methacrylic acid copolymer, aminoalkyl methacrylate copolymer, methacrylic acid copolymers, methyl methacrylate copolymers, poly(acrylic acid), poly(methacrylic acid, methacrylic acid alkylamine copolymer, poly(methyl methacrylate), poly(methacrylic acid) (an hydride), methyl methacrylate, polymethacrylate, methyl methacrylate copolymer, poly(methyl methacrylate), poly(methyl meth
- a barrier coat can be included between a coating and another coating or the exterior of the preliminary dosage form (e.g., the compressed tablet, the capsule shell, etc.).
- the barrier coat can be comprised of an enteric/delayed release coat (as above), or a barrier (non-functional) layer, which serves as a protective coat to prevent moisture from contacting the inner pharmaceutical component, or to prevent leaching from inside the barrier coat to an outer pharmaceutically active component or vice versa.
- a moisture barrier coat may be comprised of any applicable type of coat known to those of skill in the art.
- the solid ingredients of the formulation are blended, optionally granulated, such as by dry or wet granulation, and compressed into tablets, and optionally coated. Compression and/or coating can be accomplished by standard industry means. If applicable, the pan speed and the target spray rate can be adjusted to suit the particular tablet being coated. Any suitable coating can be used in accordance with the present invention.
- the pharmaceutical composition can be used to fill capsules such as hard gelatin capsules or used to prepare any other convenient solid dosage form.
- Compositions according to the invention can be stored in the form of powders, granulates, intermediates, suspensions, or solutions prior to addition of additional desired pharmaceutical excipients for the production of final dosage forms such as tablets or solid-filled capsules, or final liquid dosage forms such as solutions, syrups, suspensions, emulsions, and the like.
- the solid dosage forms of the embodiments of the present invention can be of any color or combination of one or more colors.
- the solid dosage forms can also be of any shape, for example, flat and/or oval-shaped.
- the solid dosage forms can be dispensed in any form.
- tablets or capsules can be dispensed in blister packs (e.g., ACLAR® 2000 or PVDC blister packs, preferably aluminum-aluminum blister packs) or high-density polyethylene (HDPE) bottles, which preferably include a desiccant and/or an induction seal, such as a child-resistant closure with an induction seal.
- blister packs e.g., ACLAR® 2000 or PVDC blister packs, preferably aluminum-aluminum blister packs
- HDPE high-density polyethylene
- Any number of tablets or capsules may be included in a unit dose package, such as a blister pack, including but not limited to 2, 4, 6, 8, 10, 12, 16, 20, 24, 48, 56, 75 or 100 tablets or capsules.
- a pharmaceutical composition of difimicin was prepared with the ingredients shown in Table I.
- Difimicin was mixed with microcrystalline cellulose (e.g., Avicel PH 101), starch (e.g., Starch 1500), sodium starch glycolate, and hydroxypropylcellulose.
- the mixture was sprayed with a solution of BHT in methanol.
- the sprayed mixture was granulated with hydroxypropylcellulose by high shear granulation in water, and dried in a fluid bed dryer. More sodium starch glycolate was added.
- the resultant composition was lubricated with magnesium stearate and compressed into a capsule-shaped, biconvex tablet. Some of the tablets were used with microcrystalline cellulose powder to fill grey coni-snap capsules, size 0, prior to compression. No less than 85% of the active ingredients in the solid dosage forms dissolved in 30 minutes in 900 mL of a 3.0% medium of sodium lauryl sulphate by the USP paddle method at 100 rpm and 37° C.
- the stability of the formulations of Table II, having difimicin with BHT, BHA, or no anti-oxidant were compared in Table III.
- the tablets were stored at 40° C. at 75% relative humidity (RH) in standard HDPE pharmaceutical containers with inductions seals, and with or without a desiccant. Samples of these tablets were analyzed for impurity levels using a high-performance liquid chromatography (HPLC) standard assay.
- HPLC high-performance liquid chromatography
- FIG. 1 discloses a possible structure of related Compound L.
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US12/008,751 US20080176927A1 (en) | 2007-01-19 | 2008-01-14 | Compositions of stable tiacumicins |
TW097108321A TWI474820B (zh) | 2007-01-19 | 2008-03-10 | 安定之提古黴素類(tiacumicins)之組成物 |
US13/416,768 US20130065844A1 (en) | 2007-01-19 | 2012-03-09 | Compositions of Stable Tiacumicins |
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Cited By (9)
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WO2012106722A3 (en) * | 2011-02-04 | 2013-01-10 | Optimer Pharmaceuticals, Inc. | Treatment of bacterial infections |
EP2647643A2 (en) | 2012-04-05 | 2013-10-09 | OLON S.p.A. | Procedure for the purification of tiacumicin B |
US20130331347A1 (en) * | 2010-05-18 | 2013-12-12 | Optimer Pharmaceuticals, Inc. | Treatment of Clostridium Difficile Infection in Patients Undergoing Antibiotic Therapy |
US20140315838A1 (en) * | 2010-05-18 | 2014-10-23 | Optimer Pharmaceuticals, Inc. | Methods of Treating Recurring Bacterial Infection |
US20150141356A1 (en) * | 2013-11-15 | 2015-05-21 | Optimer Pharmaceuticals, Inc. | Treatment of Clostridium Difficile Infection in High Risk Patients |
WO2015127955A1 (en) | 2014-02-25 | 2015-09-03 | Olon S.P.A. | A new polymorph of tiacumicin b and process for preparation thereof |
US20170143750A1 (en) * | 2014-05-09 | 2017-05-25 | Astellas Pharma Europe Ltd. | Treatment Regimen Tiacumicin Compound |
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US11491129B2 (en) * | 2010-06-02 | 2022-11-08 | Diffusion Pharmaceuticals Llc | Oral formulations of bipolar trans carotenoids |
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US7906489B2 (en) | 2004-05-14 | 2011-03-15 | Optimer Pharmaceuticals, Inc. | 18-membered macrocycles and analogs thereof |
US7378508B2 (en) | 2007-01-22 | 2008-05-27 | Optimer Pharmaceuticals, Inc. | Polymorphic crystalline forms of tiacumicin B |
TWI523654B (zh) | 2007-11-27 | 2016-03-01 | 默沙東藥廠 | 抗生素巨環化合物以及其製造及使用之方法 |
JO3464B1 (ar) | 2013-01-15 | 2020-07-05 | Astellas Pharma Europe Ltd | التركيبات الخاصة بمركبات التياكوميسين |
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US20080269145A1 (en) * | 2004-05-14 | 2008-10-30 | Youe-Kong Shue | 18-Membered macrocycles and analogs thereof |
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JPH05192094A (ja) * | 1991-09-03 | 1993-08-03 | Takeda Chem Ind Ltd | 造粒組成物 |
US5583115A (en) * | 1995-05-09 | 1996-12-10 | Abbott Laboratories | Dialkyltiacumicin compounds |
AU2001211213A1 (en) * | 2000-10-20 | 2002-04-29 | Galephar M/F | Stable oral formulation containing benzimidazole derivative |
US20030099699A1 (en) * | 2001-11-13 | 2003-05-29 | Hanshew Dwight D. | Storage stable thyroxine active drug formulations and methods for their production |
PT1539977E (pt) * | 2002-07-29 | 2015-01-14 | Optimer Pharmaceuticals Inc | Produção de tiacumicina |
US9211259B2 (en) * | 2002-11-29 | 2015-12-15 | Foamix Pharmaceuticals Ltd. | Antibiotic kit and composition and uses thereof |
WO2004056337A2 (en) * | 2002-12-18 | 2004-07-08 | Pain Therapeutics | Oral dosage forms with therapeutically active agents in controlled release cores and immediate release gelatin capsule coats |
KR101203118B1 (ko) * | 2005-01-31 | 2012-11-20 | 옵티머 파마슈티칼즈, 인코포레이티드 | 18-원자 거대고리들 및 그 유사체들 |
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US20130331347A1 (en) * | 2010-05-18 | 2013-12-12 | Optimer Pharmaceuticals, Inc. | Treatment of Clostridium Difficile Infection in Patients Undergoing Antibiotic Therapy |
US20140315838A1 (en) * | 2010-05-18 | 2014-10-23 | Optimer Pharmaceuticals, Inc. | Methods of Treating Recurring Bacterial Infection |
US11491129B2 (en) * | 2010-06-02 | 2022-11-08 | Diffusion Pharmaceuticals Llc | Oral formulations of bipolar trans carotenoids |
WO2012106722A3 (en) * | 2011-02-04 | 2013-01-10 | Optimer Pharmaceuticals, Inc. | Treatment of bacterial infections |
EP2670407A2 (en) * | 2011-02-04 | 2013-12-11 | Optimer Pharmaceuticals, Inc. | Treatment of bacterial infections |
EP2670407A4 (en) * | 2011-02-04 | 2014-07-23 | Optimer Pharmaceuticals Inc | TREATMENT OF BACTERIAL INFECTIONS |
EP2647643A2 (en) | 2012-04-05 | 2013-10-09 | OLON S.p.A. | Procedure for the purification of tiacumicin B |
US20150141356A1 (en) * | 2013-11-15 | 2015-05-21 | Optimer Pharmaceuticals, Inc. | Treatment of Clostridium Difficile Infection in High Risk Patients |
WO2015127955A1 (en) | 2014-02-25 | 2015-09-03 | Olon S.P.A. | A new polymorph of tiacumicin b and process for preparation thereof |
US20170143750A1 (en) * | 2014-05-09 | 2017-05-25 | Astellas Pharma Europe Ltd. | Treatment Regimen Tiacumicin Compound |
US10137141B2 (en) * | 2014-05-09 | 2018-11-27 | Astellas Pharma Europe Ltd. | Treatment regimen tiacumicin compound |
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